Moral sensitivity and moral distress in Iranian critical care nurses

2015 ◽  
Vol 24 (4) ◽  
pp. 474-482 ◽  
Author(s):  
Fariba Borhani ◽  
Abbas Abbaszadeh ◽  
Elham Mohamadi ◽  
Erfan Ghasemi ◽  
Mohammad Javad Hoseinabad-Farahani
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Moral Distress ◽  
Quality Care ◽  
Critical Care Nurses ◽  
Moderate Level ◽  
Moral Sensitivity ◽  
Medical Sciences ◽  
Ethical Considerations ◽  
The Relationship

Background: Moral sensitivity is the foremost prerequisite to ethical performance; a review of literature shows that nurses are sometimes not sensitive enough for a variety of reasons. Moral distress is a frequent phenomenon in nursing, which may result in paradoxes in care, dealing with patients and rendering high-quality care. This may, in turn, hinder the meeting of care objectives, thus affecting social healthcare standards. Research objective: The present research was conducted to determine the relationship between moral sensitivity and moral distress of nurses in intensive care units. Research design: This study is a descriptive-correlation research. Lutzen’s moral sensitivity questionnaire and Corley Moral Distress Questionnaire were used to gather data. Participants and research context: A total of 153 qualified nurses working in the hospitals affiliated to Shahid Beheshti University of Medical Sciences were selected for this study. Subjects were selected by census method. Ethical considerations: After explaining the objectives of the study, all the participants completed and signed the written consent form. To conduct the study, permission was obtained from the selected hospitals. Findings: Nurses’ average moral sensitivity grade was 68.6 ± 7.8, which shows a moderate level of moral sensitivity. On the other hand, nurses also experienced a moderate level of moral distress (44.8 ± 16.6). Moreover, there was no meaningful statistical relationship between moral sensitivity and moral distress (p = 0.26). Discussion: Although the nurses’ moral sensitivity and moral distress were expected to be high in the intensive care units, it was moderate. This finding is consistent with the results of some studies and contradicts with others. Conclusion: As moral sensitivity is a crucial factor in care, it is suggested that necessary training be provided to develop moral sensitivity in nurses in education and practical environments. Furthermore, removing factors that contribute to moral distress may help decrease it in nurses.

Perception of futile care and caring behaviors of nurses in intensive care units

2017 ◽  
Vol 26 (1) ◽  
pp. 248-255 ◽  
Author(s):  
Somaye Rostami ◽  
Ravanbakhsh Esmaeali ◽  
Hedayat Jafari ◽  
Jamshid Yazdani Cherati
Keyword(s):  
Intensive Care ◽  
Medical Care ◽  
Intensive Care Units ◽  
Statistical Tests ◽  
Negative Relationship ◽  
Form Perception ◽  
Medical Sciences ◽  
Caring Behaviors ◽  
Futile Care ◽  
The Relationship

Objectives: Futile medical care is considered as the care or treatment that does not benefit the patient. Staff of intensive care units experience moral distress when they perceive the futility of care. Therefore, this study aimed to determine the relationship between perceptions of nurses regarding futile medical care and their caring behaviors toward patients in the final stages of life admitted to intensive care units. Method: This correlation, analytical study was conducted with 181 nursing staff of the intensive care units of health centers affiliated to Mazandaran University of Medical Sciences, Mazandaran, Iran. The data collection tool included a three-part questionnaire containing demographic characteristics form, perception of futile care questionnaire, and caring behaviors inventory. To analyze the data, statistical tests and central indices of tendency and dispersion were investigated using SPSS, version 19. Pearson’s correlation coefficient, partial correlation, t-test, and analysis of variance tests were performed to assess the relationship between the variables. Ethical considerations: The study was reviewed by the ethics committee of the Mazandaran University of Medical Sciences. Informed consent was obtained from participants. Results: Our findings illustrated that the majority of nurses (65.7%) had a moderate perception of futile care, and most of them (98.9%) had desirable caring behaviors in taking care of patients in the final stages of life. The nurses believed that psychosocial aspects of care were of utmost importance. There was a significant negative relationship between perception of futile care and caring behavior. Conclusion: Given the moderate perception of nurses concerning futile care, and its negative impact on caring behaviors toward patients, implementing suitable interventions for minimizing the frequency of futile care and its resulting tension seems to be mandatory. It is imperative to train nurses on adjustment mechanisms and raise their awareness as to situations resulting in futile care.

scholarly journals The Relationship Between Ethical Awareness in Nursing Profession, and Moral Sensitivity in Nurses of Hamadan University of Medical Sciences, Iran.

2021 ◽  
Author(s):  
Ziba Mohammadi ◽  
Sahel Darderafshi ◽  
Mahboubeh Akhlaghi ◽  
Zeinab Makvandi
Keyword(s):  
Ethical Issues ◽  
Cross Sectional Study ◽  
Moderate Level ◽  
Nursing Profession ◽  
Teaching Hospitals ◽  
Moral Sensitivity ◽  
Medical Sciences ◽  
Ethical Awareness ◽  
Cross Sectional ◽  
The Relationship

Abstract Background: knowledge about moral principles and having moral sensitivity lead to the right decision in nurses when facing moral problems. This study aimed to investigate the relationship between ethical awareness in the nursing profession and moral sensitivity in nurses of Hamadan University of Medical Sciences in 2018.Methods: In this cross-sectional study, 333 nurses working in teaching hospitals of Hamadan University of Medical Sciences participated; selected by stratified sampling method with proportional allocation. Data collection tools included demographic information form, and questionnaires of ethics awareness in the nursing profession, and moral sensitivity. Data normality was assessed by Kolmogorov-Smirnov test and according to which, parametric t-test and ANOVA or non-parametric Mann-Whitney and Kruskal-Wallis tests were done in SPSS 24.Results: The results showed that the overall mean score of nurses' awareness and moral sensitivity was moderate. Also, the majority of nurses had a moderate level of awareness (65.3%) and moral sensitivity (80.4%). The level of ethics awareness by gender and the level of moral sensitivity in according to gender, marital status, shift work and employment status were significantly different (p <0.05). The findings showed that there was no statistically significant correlation between ethical awareness and moral sensitivity in nurses.Conclusion: given to the moderate level of awareness and moral sensitivity of nurses, efforts should be made to improve and promote ethical issues in nursing. It is also recommended to conduct more tailoring studies to teaching the principles of ethical awareness and moral sensitivity and to recognizing the factors affecting them.

YENİDOĞAN YOĞUN BAKIM ÜNİTELERİNDE İŞ KAZALARI RİSKLERİ VE NEDENLERİNE YÖNELİK BİR ARAŞTIRMA

2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Haluk Tanrıverdi ◽  
Orhan Akova ◽  
Nurcan Türkoğlu Latifoğlu
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Physical Environment ◽  
Neonatal Intensive Care ◽  
Organizational Factors ◽  
Occupational Accidents ◽  
Neonatal Intensive Care Units ◽  
Work Related ◽  
Physical Conditions ◽  
The Relationship

This study aims to demonstrate the relationship between the qualifications of neonatal intensive care units of hospitals (physical conditions, standard applications, employee qualifications and use of personal protective equipment) and work related causes and risks, employee related causes and risks when occupational accidents occur. Accordingly, a survey was prepared and was made among 105 nurses working in 3 public and 3 private hospital's neonatal intensive care units, in the January of 2010. The survey consists of questions about the qualifications of neonatal intensive care units, work related causes and risks, and employee related causes and risks. From the regression analysis conducted, it has been found that confirmed hypotheses in several studies in the literature were not significant in this study. The sub-dimensions in which relationships has been found show that the improvement of the physical environment in workplace, the improvement of the employee qualifications and standard applications can reduce the rate of occupational accidents. According to the results of this study management should take care of the organizational factors besides to improvement of the physical environment in workplace, the improvement of the employee qualifications and standard applications.

Moral distress among nurses in medical, surgical and intensive-care units

2016 ◽  
Vol 25 (6) ◽  
pp. 477-485 ◽  
Author(s):  
Maura Lusignani ◽  
Maria Lorella Giannì ◽  
Luca Giuseppe Re ◽  
Maria Luisa Buffon
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Moral Distress

scholarly journals Nursing care time and quality indicators for adult intensive care: correlation analysis

2012 ◽  
Vol 20 (4) ◽  
pp. 651-658 ◽  
Author(s):  
Paulo Carlos Garcia ◽  
Fernanda Maria Togeiro Fugulin
Keyword(s):  
Intensive Care ◽  
Correlation Analysis ◽  
Intensive Care Units ◽  
Quality Indicators ◽  
Nursing Care ◽  
Nursing Staff ◽  
Care Delivery ◽  
Average Length ◽  
Quality Care ◽  
Descriptive Study

The objective of this quantitative, correlational and descriptive study was to analyze the time the nursing staff spends to assist patients in Adult Intensive Care Units, as well as to verify its correlation with quality care indicators. The average length of time spent on care and the quality care indicators were identified by consulting management instruments the nursing head of the Unit employs. The average hours of nursing care delivered to patients remained stable, but lower than official Brazilian agencies' indications. The correlation between time of nursing care and the incidence of accidental extubation indicator indicated that it decreases with increasing nursing care delivered by nurses. The results of this investigation showed the influence of nursing care time, provided by nurses, in the outcome of care delivery.

Relationship between nurses’ moral sensitivity and the quality of care

2018 ◽  
Vol 26 (4) ◽  
pp. 1265-1273 ◽  
Author(s):  
Elham Amiri ◽  
Hossein Ebrahimi ◽  
Maryam Vahidi ◽  
Mohamad Asghari Jafarabadi ◽  
Hossein Namdar Areshtanab
Keyword(s):  
Quality Of Care ◽  
Inverse Relationship ◽  
Quality Care ◽  
Care Quality ◽  
Moral Sensitivity ◽  
Medical Sciences ◽  
Mean Values ◽  
Significant Inverse Relationship ◽  
Medical Wards

Background: To provide care with high quality, nurses face a number of moral issues requiring them to have moral abilities in professional performance. Moral sensitivity is the first step in moral performance. However, its relation to the quality of care patients receive is controversial. Research objective: This study aims to determine the relationship between the moral sensitivity of nurses and the quality of care received by patients in the medical wards. Research design: A descriptive correlational study using validated tools, including Moral Sensitivity Questionnaire and the Quality Patient Quality Scale. Participants and research context: In total, 198 nurses and 198 patients in 17 medical wards of hospitals affiliated with Tabriz University of Medical Sciences, Iran. Ethical considerations: The study was reviewed and approved by the Ethics Committee of Tabriz University of Medical Sciences. Findings: The mean values of nurses’ moral sensitivity and nurses’ quality care were 136.47 ± 13.30 and 196.36 ± 44.10, respectively. There was no significant relationship between the patient care quality and nurses’ moral sensitivity ( r = −.14, p = .5). However, there was a significant inverse relationship between the dimension of “Experiencing moral conflicts” and the overall score of quality care ( r = −.50, p = .04), the dimensions of “psychosocial ( r = −.50, p = .04)” and “physical ( r = −.50, p = .03).” Conclusion: Considering the significant inverse relationship between the score of patient quality care and the dimension of moral conflict experience, it seems when nurses make moral decisions, they experience a conflict between personal and professional values in their careers and thus experience moral tension. If this tension is not resolved properly, it can provide a way for them to distance themselves from patients, thereby making nurses indifferent to moral care.

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